JOB
MBMC
JOB
Application
Transaction
Application
Speciality
*
--Select--
Allopathy (MBBS & above)
Ayush
Dentist
Speciality Type
*
1. Name
*
2. Age
*
3. Qualification
*
4. MMC Registration
*
5. Are you suffering from any diesease?
*
--Select--
Yes
No
Suffering from any comorbidity?
*
--Select--
Yes
No
Kind of Comorbidity
*
Period of Comorbidity
*
6. Are you practicing at present?
*
7. Present Place of working
*
8. Residential Address
*
9. Preference of place to work
*
--Select--
Health post
Quarantine cell
Covid care centre
Dedicated covid Health centre
Dedicated covid Hospital
Anywhere
10. Contact No.
*
11. Email ID
*
12. Duration in which you want to work
*